1. People with healthcare needs Functional health status
The Clinical Value Compass
NEED
RESULT
People with healthcare needs
Outcome:
Changed health status
Value Compass
Functional health status
Costs
Expecta-tions
Clinical biological status
Total costs
Satisfaction against needs
Clinical out- comes
WHAT WE DO
The Healthcare processes/ performances
WHAT DO THEY LOOK LIKE?
Initial health status/condition
Changed health status/condition

2. Functional health status3-
© 1996 Dartmouth Medical School and Lahey Hitchcock Clinic
The Clinical Value Compass
• Physically
• Social/Role
• Risk status
• Well being
• Mental
• Pain
• Vitality
• Perceived well being
• Health risk status
Functional health status
• Clinical result
Mortality
• Achieved health
• Morbidity/ infirmity
Sjuklighet = morbidity, infirmity, invalidity
Satisfaction compared to need
• How he/she is met
• Respect
• Participation
• Information
• Pat/ family’s satisfaction with the process
• Perceived health benefit
Medical status
• Complications
• Lab results
• Test results
• Clinical signs
• Symptoms
Cost
• Direct medical
• Indirect social
• Costs for substitutes
• Direct health costs
• Resource consumption

3. A way to think about aims, activities, participants in healthcare
© 1996 Lahey Hitchcock Clinic 24
10-
The Clinical Value Compass
A way to think about aims, activities, participants in healthcare
Processes
Result
Need Dx Rx
Initial health status
Healthcare performances
New health status

4. A Strategic compass 2. Key processes 3. Patient satisfaction
1. Innovation & learning
4. Economy